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NPI Code Detail

MEDICARE: AMANDA RUTH GATZKE DNP, APNP, FNP-BC

MEDICARE: AMANDA RUTH GATZKE DNP, APNP, FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner14144WI
2363L00000XNurse Practitioner14144WI

General Provider Information

NPI Number : 1629756705
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA RUTH GATZKE DNP, APNP, FNP-BC
Provider Business Mailing Address
First Line : 515 22ND AVE
Second Line :
City : MONROE
State : WI
Zip : 53566-1569
Country : US
Telephone Number : 608-324-1454
Fax Number :
Provider Business Practice Location Address
First Line : 515 22ND AVE
Second Line :
City : MONROE
State : WI
Zip : 53566-1569
Country : US
Telephone Number : 608-324-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2023
Last Update Date : 12/15/2025

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